Rough Sleepers September book club selection

Our book club assignment for September is Rough Sleepers by Tracy Kidder.  Here is a summary of a model program from 1985 to the present at its website with a description of the book. Our History | Boston Health Care for the Homeless Program (bhchp.org)

"2023:  Rough Sleepers: Dr. Jim O’Connell’s Urgent Mission to Bring Healing to Homeless People by Tracy Kidder is published. Kidder tells the story of Dr. Jim O’Connell, (Boston Health Care for the Homeless Program) BHCHP’s founding physician and the BHCHP Street Team as they offer medical care and friendship to “rough sleepers”, our patients living on the streets. Tracy Kidder, a Pulitzer prize-winning author followed the Street Team for 5 years resulting in this New York Times bestseller.

Rough Sleepers appears on the cover of the New York Times magazine with a 10,000-word author essay by Tracy Kidder and a photo montage of patients cared for by the BHCHP Street Team.

Barbara McInnis House respite program [in 2023] opens the Complex Addiction Treatment (CAT) team specializing in the respite care of people with active SUD using best practices from addiction medicine, harm reduction, and trauma informed models of care. This is a unique model of care: The team’s goals are 

(1) to provide effective care to respite patients at BMH who are at high risk for adverse outcomes related to drug use 

(2) to retain these patients in care at BMH to address the medical need(s) for which they were admitted and 

(3) to decrease triggers and trauma for patients in respite who are not using drugs by cohorting and better supporting patients for whom cessation of use is not an option."

Additional information

Find Immediate Homelessness Assistance | SAMHSA

Need Housing Assistance? - HUD Exchange

"SAMHSA’s SOAR program increases access to Social Security disability benefits for eligible children and adults who are experiencing or at risk of homelessness and have a serious mental illness, medical impairment, and/or co-occurring substance use disorder." However I found it so complex, I couldn't figure it out. Find Treatment Locators and Helplines | SAMHSA  Definitely would require a whole department of specialists. But I also looked at the number of applicants in 17 years this department has helped, and I was not impressed.

"Under federal disability rights laws, alcohol addiction, whether current or past, is typically considered a disability due to the effects it has on a person’s brain and neurological functions and is protected by the ADA. 7 On the other hand, though drug addiction is generally considered a disability, the ADA only allows protections for those in recovery and not currently engaging in illegal drug use. 7

Is Addiction a Disability? ADA Protections & Disability Benefits (americanaddictioncenters.org)

Dr. Jim O'Connell wrote a memoir in 2015. House Calls To The Homeless: A Doctor Treats Boston's Most Isolated Patients : Shots - Health News : NPR

Medicaids-Role-in-Housing-1.pdf (macpac.gov)

Thousands in Columbus are waiting for affordable, Section 8 housing (dispatch.com)